Active NPI
Wal-Mart Stores, Inc
Doing business as Wal-Mart Vision Center 30-3794
- Eyewear Supplier
- Federal Way, WA
National Provider Identifier
1316002132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- WAL-MART STORES, INC
- Doing business as
- Wal-Mart Vision Center 30-3794
- Practice address
- 34520 16TH Ave. So.
Federal Way, WA 98003 - Phone
- (253) 835-9162
- NPI assigned
- Dec 22, 2006
- Last updated
- Sep 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- BJ Rice
- Title
- Provider Enrollment Specialist
- Phone
- (479) 277-9835
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | NU | Primary | |
| Optician | 156FX1800X | NU |
Addresses
Primary practice location
34520 16TH Ave. So.
Federal Way, WA 98003
Mailing address
702 SW 8TH St.
Bentonville, AR 72716-0235
Other names 1
- Wal-Mart Vision Center 30-3794
National Provider Directory
National Provider Directory- Tax ID family
- Ability Network
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Wal-Mart Vision Center 30-2469
- Eyewear Supplier
- Longview, WA
- NPI 1376633370
-
dba Walmart Pharmacy 10-5929
- Community/Retail Pharmacy
- Battle Ground, WA
- NPI 1194142604
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1316002132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 SW 8TH ST.",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727160235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "34520 16TH AVE. SO.",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "98003",
"telephone_number": "253-835-9162"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAL-MART STORES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "RICE",
"authorized_official_first_name": "BJ",
"authorized_official_title_or_position": "PROVIDER ENROLLMENT SPECIALIST",
"authorized_official_telephone_number": "479-277-9835"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wal-Mart Vision Center 30-3794",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.